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Chapter 102. Overweight and Obesity

Student Questions

Which of the following are possible symptoms of severe liver damage that should be immediately reported to the patient's healthcare provider in a patient who is taking orlistat?

A. Decreased AST/ALT

B. Yellowing of the eyes or skin

C. Pale urine

D. Increased appetite

Answer: B

Option A. Incorrect. Liver damage would cause increased AST/ALT.

Option B: Correct. Yellowing of the eyes or skin is a symptom of severe liver damage and should be immediately reported to the patient's healthcare provider

Option C: Incorrect. Liver damage causes dark urine.

Option D: Incorrect. Liver damage causes decreased appetite.

A patient recently diagnosed with obesity (160 lbs [73 kg]; BMI, 31 kg/m2) 2 weeks ago returns today with her food diary. Upon review, her average daily caloric intake is 2200 kcal/day (9209 kJ/day). What suggestions, if any, do you provide for her today?

A. Restrict daily calories to 800 kcal/day (3349 kJ/day)

B. Restrict daily calories to 1100 kcal/day (4604 kJ/day)

C. Restrict daily calories to 1700 kcal/day (7116 kJ/day)

D. Restrict daily calories to 2000 kcal/day (8372 kJ/day)

Answer: C

Option A: Incorrect. This will reduce her total daily kcal (kJ) too much.

Option B: Incorrect. This will reduce her total daily kcal (kJ) too much.

Option C: Correct.Initial goal in dietary restriction is to create a 500 kcal (2093 kJ) deficit from their current regimen.

Option D: Incorrect. This will not reduce her total daily kcal (kJ) enough.

Which one of the following obesity medications requires additional supplementation of vitamins A, D, E, and K?

A. Orlistat

B. Liraglutide

C. Lorcaserin

D. Phentermine

Answer: A

Option A: Correct. Orlistat reduces the absorption of fat soluble vitamins.

Option B: Incorrect. Liraglutide does not impact absorption of fat soluble vitamins.

Option C: Incorrect. Lorcaserin does not impact absorption of fat soluble vitamins.

Option D: Incorrect. Phentermine does not impact absorption of fat soluble vitamins.

Bariatric surgery is ...

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